<%--
    Document   : MedVerificacion
    Created on : 14/04/2010, 05:06:19 PM
    Author     : LAPTOP01
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
    "http://www.w3.org/TR/html4/loose.dtd">
<%@taglib uri="http://struts.apache.org/tags-bean"  prefix="bean"%>
<%@taglib uri="http://struts.apache.org/tags-html" prefix="html"%>
<%@taglib uri="http://struts.apache.org/tags-logic" prefix="logic"%>
<%@ taglib uri="/tags/c" prefix="c"%>
<script src="scripts/ajax.js" language="JavaScript"></script>

<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
        <link rel="stylesheet" href="lib/css/estilos.css" type="text/css">
        <title>JSP Page</title>
    </head>
    <body>
        <br><br><br><br><br><br><br><br><br><br><br><br><br><br>
        <center>
            <table>
                <tr>
                    <td  align="center">

                        <html:form action="Usuario.do?dispatch=registrar" styleId="PEIForm">
                            <table align="center">
                                <html:hidden property="estado" value="1"/>
                                <tr>
                                    <td>Apellidos : </td><td><html:text property="apellido"/></td>
                                </tr>
                                <tr>
                                    <td>Nombres : </td><td><html:text property="nombre"/></td>
                                </tr>
                                <tr>
                                    <td>Email1 : </td><td><html:text property="email"/></td>
                                </tr>
                                <tr>
                                    <td>Email2 : </td><td><html:text property="email_2"/></td>
                                </tr>


                                <tr>
                                    <td>Telefono : </td><td><html:text property="telefono"/></td>
                                </tr>
                                <tr>
                                    <td>Celular : </td><td><html:text property="celular"/></td>
                                </tr>
                                <tr>
                                    <td>  Dependencia :</td><td> <html:select property="dependencia">
                                            <html:option value="-1">[--Seleccionar Dependencia--]</html:option>
                                             <html:optionsCollection name="UsuarioForm" property="listaDependencia" value="NUM_CODDEPEN_PK" label="TX_DESCDEPEN" />
                                        </html:select>
                                    </td>
                                </tr>
                                <tr>
                                    <td>Cargo : </td><td><html:text property="cargo"/></td>
                                </tr>
                                <tr>
                                    <td>Usuario : </td><td><html:text property="usuario_name"/></td>
                                </tr>
                                <tr>
                                    <td>Password : </td><td><html:text property="usuario_password"/></td>
                                </tr>
                                <tr>
                                    <td>Confirmar Password : </td><td><html:text property="usuario_password"/></td>
                                </tr>
                                <tr align="center" >
                                    <td colspan="2"><html:submit value="Registrase"/></td>
                                </tr>
                            </table>

                        </html:form>
                        <br><br>

                    </td>
                </tr>
            </table>
        </center>
        

    </body>
</html>
